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HomeMy WebLinkAboutCOM2024-00012 - COM CD Environmental Health Review - 2/15/2024 _ MASON COUNTY COMMUNITY SERVICES PecmitNwfdo YI ZT1��-IYn�� PERMIT ASSISTANCECENTER: •BUIIDIfIG.PLVLv4vG•PIBLIC HFN-)H.RREHMy{gL 615 W.NOv9Es(SMpiry WA965M vM1ms SMYm'R6)Vf 6meH.35x.Fa36001 ->!Bfi Plms - fiellW.(360f95H6>.Pbty Ehu'M60116?6?BB � BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION• n�1 NAME S NAME: MAU.INGADDREES:IO MA=eADDRESS: f =CITY: SPATE Z@: CUY: STAM' zu. m4l: - 3 - PHONE PHONBF2: - am, Q�// PMAIIe I.AI REG# EKP. rn 0 PRrnIARYcoNT wa oWNmg coNrancroR❑ oTaa� � � r `m PMAD.INyIADpRh'15$ n,l .A' '] -��mT ViaK r AM" O urn = m. OR PARCEL SIFOBMATION: �ID PARCQ.NUDffiER(I AgdN..W 3awz1 -31- b00r-Il ZOUNG �.- LEGALDESCRIPTION(Abbl.viml) F3R8DSTNCt STIBADDRBSS_�11-II i+ DDIECDONSTOSUEADDRHSS TS TBB PROIECf WDHDI3E0 FI OP SLOYa(S)G@EAT1L@THAN IT;4: YESQ NO� SNOWLOAD:_�A . TS PBOPERTYWrIHBtw6sroaT�.aoLwwarc: Ia�rm,ee�: S MAr (] LASE❑ RnMAMEEKD POND❑ WHUAND❑ SEASONALRU (] STREAM❑ TYPEOFWURK NEW[] ADDITION❑ ALTERAnONA lMADtp OTMn USH OP STRUL'fi]RE(aemme.�q.O....vedgtatp)1$��Yt�aS� . L4 USE PRDdARY❑ SEASONAL❑ NUMEEBOPHEDROOMS_-NUIOEROFBASHROO _L_ HEATED STRUCfORLT YFS/we. .Wjo YES pmyd9akw o NO❑ DESCRIBH WORE SOIIARE FOOTAGE:m if2S ek1 S}I,�q S(�OL:C. 1S FLOOR_q.H 2 DPLOOR-1 ,& mM.UOR_q.8 BASEtvffiiT_q H DPCR q.8 WVER®D&R q.8 Sn1RAGe q.8 OiH�! q.H GARAGE_,L Ax AMA Dmd�.e❑ cARPonr q.a m ao n.wAd❑ MANUFACTURED HOME INFORMATION: *<COPIES OFTEXPIAORPLANREQURED` MARE MODEL YEAR LPNOTH WIDT'FI BEDROOMS BATHS SBIUALNUTADER ENVIItONMENTALIiEALTH: SHWAOBSEMSOURCE SEPTICk SE o I NEW❑ E�tIIi(i�,{ PLUASBDia W nTUC mo YM[a NO Q Ij>v,ma A p]erd Wabddequocy^Fda� PffitII+ID1ER/FOONDAIWDRAASPROPOSFD] YES N0 E95TDiG 5Q.Ff. EXISTBlG PROPOSEDBBDEOOMS=jgTOTALBEDROOW O'NNERSAwMt aame:dmdmm.v.hiMmm�nq'rd�EtlneamC`amkokmaG®nrtmv�m.itivcq iJemmldotl�hb/ .MY�n.G P.��6vnY l�6xarratl lfiWrtlWe�eOmllem amkamrvse Ni µnieutlmbBieuvka PR edlNro 1.P ^a.�mtl�rt Bw ��eM paMc tivnPVAc d4Ned�9�6�NT'¢PWed.The wn�cxkyd . vtl.buyaM.)trmMxW m�6 ThmThm N�neI.PN®6rn he®ne mip 8 witl PwkveiNvlvtlmvhudYn hM men�cretl WIM1m tm tly.drcmumam,wxm ainodne.e tr.P•tl.6 d1m tl.vs. PROOF OF CONTINUATION OF WORN ON T M PEFMU M HY MEANS OF WSPECDON. INACTION OF THIS P U APPLICATION OF IRO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUN CODE14.OL4Z) SIJlI�ve WORMER LMust bs sbnW hvMe OWNERI Date F&XTdaKK^i� ,AP�RQomT' +PATTY'''+ �_R&�P6Qi ;D TAc$r,UDTalt(CQPPATQNS< SUHDINGDEPAR'TNEi - PLAHI.BNODEPARTM6Ni' FIRE MARSHAL PUBLfiHEALTH Z191"—05 ! g ƒ; SS ° . � ,� / J& ■ ! D " � � � | © r, , ,5 � k � \y 99 V � y % � � ■ �� 4 !� 7_ ia� - ^ \ S cj - . V7 - + -21 \ � ƒ